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Forms and Data Elements image

The following GRID documents can be accessed for printing or downloading by clicking on the links at left:

Entire Forms Package
This package contains the Facility Form, Monthly Data Form by Facility and Monthly Data Form by Physician.

Facility Form
This form records facility profile information, such as imaging volume, number of personnel, and equipment in use.

Monthly Data Form by Facility
This form records process measures and outcomes by facility.

Monthly Data Form by Physician
This form records process measures and outcomes by physician.

Data Dictionary
This document provides definitions of data elements used in the GRID forms.
 
 
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© American College of Radiology
Version: 13.2.14740